Individual
ANSLEY ISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 ESSEX ST APT A, NEW YORK, NY 10002-2327
(865) 292-1934
Mailing address
143 ESSEX ST APT A, NEW YORK, NY 10002-2327
(865) 292-1934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48334
NY
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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